Organization Active NPI

Keeler Chiropractic, P.a.

  • Chiropractor
  • Hutchinson, KS
National Provider Identifier
1215026596
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04232 Issued in KS
Legal business name
KEELER CHIROPRACTIC, P.A.
Practice address
1700 E 30TH Ave Ste a
Hutchinson, KS 67502-1263
Phone
(620) 662-6607
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay D Keeler, D.C.NPI 1093784787
Title
President
Phone
(620) 662-6607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04232 KS Primary

Addresses

Primary practice location

1700 E 30TH Ave Ste a
Hutchinson, KS 67502-1263

Mailing address

1700 E 30TH Ave Ste a
Hutchinson, KS 67502-1263
Phone (785) 483-4909

Other identifiers 2

IdentifierTypeStateIssuer
1093784787OtherKSINDIVIDUAL NPI #
062050OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609001378 KS Part B Supplier - Clinic/Group Practice 2264415314 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Garden City, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

311 W Kansas Ave
Garden City, KS 67846
Phone (620) 275-1065

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1215026596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 30TH AVE STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021263",
            "telephone_number": "785-483-4909",
            "fax_number": "785-483-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 30TH AVE STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021263",
            "telephone_number": "620-662-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELER CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-662-6607",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1093784787",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "062050",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.